Gingival Fenestration

Lane, James J.

doi:10.1902/jop.1977.48.4.225

Cited by 9 publications

(13 citation statements)

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“…In literature, this lesion has been described variously as ‘mucosal fenestration’,8 ‘gingival fenestration’2 and as ‘apical fenestration’12 purely on the basis of its location in the mucogingival complex. Interestingly, in the most accepted system of periodontal disease classification, it is unclear whether this lesion is considered as a non-plaque induced gingival lesion or as a mucogingival deformity around the teeth 13…”

Section: Discussionmentioning

confidence: 99%

“…A lesion which occurs with greater frequency than generally realised,2 its occurrence is attributed to a myriad of causes including heavy calculus deposits at the root apex in thin gingivae,3 endodontic infections, endodontic–periodontic lesions,1 trauma to the tooth and anatomical anomalies such as cervical enamel projections,4 traumatic occlusion and mucogingival stress 5. They may also be caused iatrogenically because of orthodontic procedures1 or secondary to laser therapy during depigmentation and gingivoplasty procedures 6…”

Section: Introductionmentioning

confidence: 99%

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A regenerative approach towards mucosal fenestration closure

et al. 2013

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Mucosal fenestration is an opening or an interstice through the oral mucosa. A lesion which occurs with greater frequency than generally realised, its occurrence is attributed to a myriad of causes. Mucogingival procedures including connective tissue grafts, free gingival grafts and lateral pedicle grafts are generally considered to be the treatment of choice in the closure of a mucosal fenestration. More often, these procedures are performed in conjunction with other procedures such as periradicular surgery and with bone grafts. However, the concomitant use of gingival grafts and bone grafts in mucosal fenestrations secondary to infections in sites exhibiting severe bone loss is highly debatable. In this article, we report two cases of mucosal fenestrations secondary to trauma and their management by regenerative periodontal surgery with the placement of guided tissue regeneration membrane and bone graft. The final outcome was a complete closure of the fenestration in both the cases.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A regenerative approach towards mucosal fenestration closure

et al. 2013

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“…Due to inflammation, gingival fibers are lost, rendering the tissue freely movable by forces such as mastication and toothbrushing, which, combined with subgingival plaque, may result in the formation of a window in the gingiva. 6 Dehiscence defects are more prevalent in the mandibular canine-first premolar region followed by the maxillary canine region. 7,8 This case depicts the presence of a fenestration not only in the alveolar bone but also extending to the attached gingiva in relation to the maxillary lateral incisor labially.…”

Section: Discussionmentioning

confidence: 99%

Management of Combined Gingival and Alveolar Fenestration in Maxillary Lateral Incisor: A Report of a Rare Case

Ashwath¹,

Sundaram²,

Arunachalam³

et al. 2013

JOFR

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Gingival fenestrations are of uncertain etiology having rarely been reported in the dental literature. It seems to have a multifactorial origin and is commonly associated with the anterior region of the arch, especially the incisors. They are usually associated with chronic periapical inflammation. The resorption of bone is usually not associated with such defects. The routine therapeutic modalities used for these defects include mucogingival procedures such as free gingival graft, subepithelial connective tissue graft, pouch and tunnel technique and guided tissue regeneration. The following case describes a rare clinical situation where a gingival fenestration is associated with a large bone defect treated with bone grafting and guided tissue regeneration.

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“…Unlike fenestrations, the gingival margin for a dehiscence is noncontinuous and apically positioned. Although previously mentioned in the literature, Lane in 1977 was the first to describe it as a distinct pathologic entity [2]. The etiological basis for GF has not been completely elucidated but is probably multifactorial.…”

Section: Introductionmentioning

confidence: 99%

“…Local factors that have been reported to be associated with GF include plaque/calculus [1–4], cervical enamel projections (CEP) [5], tooth malpositioning [1, 2], trauma [3], chewing habits/foreign body (gutka) [6], occlusal factors [7], and implant fixture threads [8]. Anatomic factors associated with noncarious cervical lesions (abfraction, abrasion) could possibly lead to sharp irregular cervical “notching,” [9] resulting in a soft tissue fenestration [10].…”

Section: Introductionmentioning

confidence: 99%

Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting

Haskell

Stern

Ghiassi

et al. 2019

Case Reports in Dentistry

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Introduction. Gingival fenestration (GF) is a distinct clinical entity of uncertain etiology that is seldom documented in the literature. It has been associated mainly with submucosal mechanical irritants such as calculus that subsequently create an opening in the oral soft tissue, usually at facial anterior sites. Surgical correction may be indicated to address functional and/or esthetic concerns. Case Presentation. The patient, a 74-year-old male, presented to the clinic with a chief complaint of “something is poking through my gum.” Clinical exam revealed a gingival fenestration on the facial of tooth #11, associated with what appeared to be a pronounced noncarious cervical lesion (NCCL). Surgical treatment consisted of a connective tissue graft and odontoplasty of the sharp protruding edge of the root surface. Healing was uneventful with excellent closure of the fenestration and no evidence of recurrence after 18 months of follow-up. Conclusion. GF is a perforation of the mucosa typically associated with underlying sharp mechanical etiology. This report describes a fenestration that developed from a probable abfractive lesion, which later was successfully closed and exhibits long-term stability.

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Gingival Fenestration

Cited by 9 publications

References 0 publications

A regenerative approach towards mucosal fenestration closure

A regenerative approach towards mucosal fenestration closure

Management of Combined Gingival and Alveolar Fenestration in Maxillary Lateral Incisor: A Report of a Rare Case

Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting

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